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THE UNIVERSITY OF 
NoRTH CAROLINA LIBRARY 


From the 
ERNEST HAYWOOD LIBRARY 
Established in Memory of 


John Haywood, Trustee 1789-1827 
Edmund Burke Haywood, 1843-46 
Ernest Haywood, ’80 


by 
Burke Haywood Bridgers, '03 


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BY-LAWS 


ESTABLISHED BY THE 


BOARD OF DIRECTORS 


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NORTH CAROLINA. 


RALEIGH : 
_ Edwards, Broughton & Co., Printers and Binders. 
1878. 


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BOARD OF DIRECTORS. 


The Annual Meeting of the Directors shall be 
held on the First Wednesday in December; but all 
other meetings may be held at such stated times as 
shall be agreed upon. 

In the absence of the President, the senior Di- 
rector shall preside at the meetings ; and when the 
Clerk is absent, a Clerk pro tempore shall be ap- 
pointed. 

All questions brought forward for the considera- 
tion of the Board shall be submitted in writing, and 
decided by a majority of the members present. 

The Executive Committee shall consist of three 
members, two of whom shall reside in the city of 
Raleigh, and be fully competent to transact busi- 
ness. 

They shall be, in the absence of the Board of 
Directors, the advising body with whom the Super- 
intendent of the Asylum shall confer in regard to 
the business of the Institution ; and they shall be 
clothed with full powers to do all acts which may 
be necessary for the proper conduct and manage- 
ment of -the Institution, except in such cases as 
the law requires the action of a full Board, or where 
prevented by a special order of the Board; and 
they shall meet monthly at the Asylum, or such 
place in the eity of Raleigh as may be agreed upon, 
for the transaction of all business within the scope 
of their duties. On these occasions, it shall be their 
especial duty to examine the books of the Treasu- 
rer, and to examine and audit the accounts of the 
‘Steward for the expenditures of the preceding 
month. 


4 
DUTIES OF SUPERINTENDENT. 


The Superintendent being required by law to 
reside in or near the Asylum buildings, and to de- 
vote his whole time to its welfare, becomes the 
chief executive officer under the Directors of the 
establishment, from whom all persons employed 
by him, with the approval of the Directors, will 
receive their instructions ; while it shall be his duty 
to see that all the officers and employees of the In- 
stitution are energetic, industrious, punctual, exact, 
and in all respects faithful in the performance of 
their several duties as prescribed in these By-Laws. 

He shall visit all the patients frequently and learn 
their condition, and shall visit those requiring it as 
often as necessary, and shall direct such medical, 
moral, and physical treatment as in his judgment 
will be conducive to their comfort and amelioration, 
or best adapted to their relief. 

He shall keep a record of the name, age and res- 
idence of each patient, and the supposed cause of 
his insanity, and the length of time he has been 
afflicted; also of the time when received and re- 
moved, whether cured or relieved, whether eloped 
or dead, and, in case of death, of what he died, 
and shall conduct the correspondence of the Insti- 
tution. 

At each monthly meeting of the Executive Com- 
mittee, he shall exhibit all the records of the Insti- 
tution, its general state, the names of persons 
received or removed, with such remarks and sug- 
vestions as he may deem useful ; and at the annual 
meeting, furnish a tabular view of the condition of 
the Institution for the year, deduced from the 
records. 

It shall be his duty to give to all persons em- 
ployed in the Asylum such instructions as are best 
adapted to carry into effect all the rules and regu- 
lations of this Institution ; and he shall take care 
to see that these rules and regulations are strictly 
and faithfully observed and executed. | 


5 


Subject to the instructions of the Board of Di- 
rectors, and, in their absence, of the Executive 
Committee, he shall determine what attendants 
and other assistants are necessary, and with them 
arrange their rate of wages. When wishing to be 
absent from his duties for more than one day, he 
shall report the same to the Board of Directors or 
the Executive Committee. 

No money shall be spent upon the premises, 
except for ordinary repairs and current expenses, 
nor for anything connected with the Asylum,.un- 
less so directed by the Board, or approved by the 
Executive Committee. 


2.059400 


ASSISTANT PHYSICEAN. 


He shall assist the Superintendent in the medical, 
moral and physical treatment of the patients, keep 
a record of cases under treatment, and perform any 
other duty connected with the medical department, 
required by the Superintendent. 

He shall have charge of the medical office, see 
that all medicines are properly prepared and put 
up, and shall report the same to the Superintendent. 

He shall receive company and conduct them 
through the Asylum, in the absence or by the re- 
quest of the Superintendent 

He is required to spend his time during the day, 
and in the night when necessary, in the Asylum, 
and in his intercourse with the inmates will exert 
what moral influence he can, and endeavor by 
every proper and lawful means to further the views 
and wishes of the Superintendent. He shall care- 
fully study the character and peculiarities of the 
patients, direct their éxercise and amusements, and 
report to the Superintendent any neglect of duty 
or misconduct that may come under his notice. 
He shall discharge the duties of the Superintendent 
in his absence, and be clothed with his authority. 


6. 
STEWARD---HIS DUTIES. 


The Steward, under the direction of the Super- 
intendent, shall purchase furniture, fuel, stores, 
implements, and all supplies for the Asylum, and 
shall be responsible for the safe keeping and eco- 
nomical use of the same. 

He shall keep methodical and accurate accounts 
of all purchases, and of all moneys expended by 
him, as well on account of the patients as for the 
Institution. 

He shall exhibit his vouchers, books and accounts 
to the Executive Committee at their monthly 
meetings, and shall furnish an abstract of the same 
to the Treasurer of the Asylum at the end of each 
month. 

He shall constantly observe the condition of all 
persons employed in subordinate positions, see they 
do their duty, and report to the Superintendent 
any instance of neglect or misconduct that he may 
observe, or of which he may be informed. 

Under the direction of the Superintendent, he 
shall attend to the business of the farm, stock, gar- 
den, grounds, fences and out-buildings, and see 
that they are always kept in order. 

He shall assist in maintaining the police of the 
establishment; shall see to the opening and closing 
of the house, and that the attendants and servants 
rise and commence their business at the ringing of 
the bell, and retire in proper season at night ; that 
the bell is rung at proper hours; that the warmth, 
cleanliness and ventilation of the house is attend- 
ed to. 

He shall receive visitors, give them all suitable 
information, and accompany them to such parts of 
the building as are open for examination. 

It shall be the duty of the Steward to be in the 
presence of the male patients as much as possible, 
to see that they are kindly treated, that their 
clothes are taken care of, that their food is properly 


7 


served and distributed, and that they take the same 
in a proper manner; that the rooms, passages and 
other apartments under his care are kept clean and 
in good order, and properly warmed and ventila- 
ted; and that the male attendants observe his 
orders and directions and in all respects do their 
duty. 

It shall be his duty to devote his whole time to 
the Institution; to assist the Superintendent as 
Secretary, when desired so to do; to preserve order 
in the house and faithfulness amongst the assist- 
ants, and to see that all the regulations here adopt- 
ed shall be fully put in practice. 


—-—0020-0———_. 


ms MATRON. 


It shall be the duty of the Matron to look care- 
fully to the female patients, to be with them as 
much as possible, to direct the nurses. in their duty, 
to see that the patients are kindly treated, that 
their food is properly served and distributed, that 
their apartments are kept clean and in order, prop- 
erly warmed and ventilated, and that the female 
attendants do their duty in all respects. She must 
also superintend the kitchen, the cooking, the 
washing and ironing, and take care of the clothes 
and bedding, and see that they are always clean 
and in order; keep a record of the clothing of pa- 

tients when they enter and during their continu- 
ance in the Asylum, and watchfully superintend 
the bathing of the female patients. 

Indeed, she must look into every department 
fr equently and see to the good order of the whole 
house—direct the employment and amusement of 
the female patients, and spend as much time with 
them as her other duties will allow; and thus, by 
devoting her whole time to the Institution, spare 
no effort. to promote the comfort and recovery of 
the patients, and the general welfare of the Asylum. 


‘SUPERVISOR. 


It shall be the duty of the Supervisor or chief 
attendant to see that the moral treatment of pa- 
tients, and the conduet of the attendants conform 
in all respects to these by-laws and the instructions 
of the Superintendent and Assistant Physician. 

He shall always be present when food or medi- 
eine is administered coercively ; and he shall inva- 
riably be present when restraint is applied, and 
when patients take their baths. He shall keep a 
faithful list or record of the patients’ clothes, and 
also frequently pass through the different wards, 
aiding and encouraging the attendants in their 
efforts to amuse or employ the patients; and in 
every way indeed endeavor to promote the good 
order and discipline of the Asylum, by seeing ‘that 
the Superintendent’s or Assistant Physician’ s in- 
structions in reference to occupation and exercise 
are faithfully and cautiously fulfilled, and by 
guarding against disturbances, escapes, suicides, 
exposure, &¢c. He shall also wait upon visitors, 
when called on for that. purpose, and perform BY 
other service required of him, 


—— 0-09 00 —— 


ATTENDANTS. 


The Attendants shall treat the patients with 
uniform attention and respect—greet them with 
friendly salutations, and exhibit such other marks 
of kindness and good will, as evince interest and 
sympathy. ‘They shall speak in a mild, persuasive 
tone of voice, and never address a patient coarsely, 
or by a nick-name. 

On arising in the morning, every Attendant shall 
see that each patient confided to his or her care is 


9 


washed, hair combed, and that he or she is decently 
dressed for the day. Attention shall be given to 
the person und dress of each patient during the 
day as often as required by disorder or any want 
of cleanliness. 

One Attendant must always be with the patients, 
and must not leave them under any circumstances. 
but when relieved by another. 

‘An Attendant must always be present at the 
meals—earve the food, and distribute it to such as 
are not competent to do it for themselves, and to 
see that each one has his or her proper supply, and 
that they take it in a proper manner. 

Care shall be taken that no patient carries away 
a knife, fork, or other article from the table, and 
the knives and forks shall be counted after each 
meal, to prevent any being lost. 

No Attendant shall ever apply any restraining 
apparatus to a patient except by order of the Su- 
perintendent, or of a resident officer under his 
direction. 

The patients are to be soothed and calmed when 
irritated, encouraged and cheered*® when melan- 
choly and depressed. They shall never be pushed, 
collared, nor rudely handled. 

When Attendants receive insulting and abusive 
language, they must keep cool, and forbear to 
recriminate or threaten. Violent hands shall never 
be laid upon patients under any provocation ; and 
a blow shall never be returned, unless in the clear- 
est case of necessary self-defence. Sufficient force 
to prevent injury to themselves or others shall 
always be applied gently. Authority must be 
maintained by kindness of manner and dignity of 
deportment. 

Attendants shall never place in the hands of pa- 
tients, or leave where they can obtain, any razor, 
knife, rope, cord, medicine, or any dangerous wea- 
pon or article. Neither shall they deliver any 
letter or writing to or from a patient, without per- 


10 


mission of the Superintendent—nor retain in their 
possession any writing of a patient. 

Attendants must never leave-the Institution 
without permission from an officer, and always 
return by nine o’clock at night, unless leave be 
expressly given to stay out longer. When abroad, 
the conduct and conversation of patients must not 
be reported. No company must be admitted into 
the apartments occupied by the patients, at any 
time, except by express permission of the Physi- 
cian. But all other parts of the Asylum may be 
exhibited by the Steward or Matron, and it is ex- 
pected that great respect will be shown to strangers 
who visit the Institution. 

It shall be the duty of the Attendants to keep the 
patients’ rooms and halls perfectly clean and well 
ventilated ; to have the beds aired and sunned, and 
made in proper season ; all the doors of rooms to 
be kept closed when the patients are in bed. 

The Attendants must never give up the key of 
the passages, nor let any one into the halls without 
permission; and no male Attendant shall enter a 
female apartmént without permission of an officer. 

Every patient must be in the charge of some 
responsible individual at all times, unless per mitted 
to be at large by the Physician. 

No patient shall be permitted to go out of the 
ward in which his apartment is situated without the 
consent of an officer, and no new pate without. 
the order of the Physician. 

No Attendant shall discontinue service of the 
Asylum without giving to the Superintendent or 
Steward at least fifteen days’ notice. 

It is required that all persons who have duty to 
perform in the Asylum will rise at the ringing of 
the morning bell. 


11 


WATCHMAN. 


The duties of the Watchman are of a most re- 
sponsible and important character. He should be 
careful, therefore, to keep up the strictest vigilance 
during the night, never allowing himself to sleep 
while on duty, or to fail in any particular to dis- 
charge his trust with fidelity. 

He must commence his rounds at half-past nine 
o’clock at night, having first rung the Asvlum bell 
to announce the hour for closing the Institution 
for the night; and after that time no employee 
must be out without the express permission of the 
Superintendent. 

It shall be his duty to pass around the buildings 
at least every hour in the night, and have a par- 
ticular care over the apartments occupied by the 
female patients, besides strictly observing such 
special directions for the night as shall be given 
him by the Superintendent or other superior officer. 

He shall notice all unusual sounds in the patients’ 
rooms, and give immediate information of the same 
to the proper attendant. 

He shall report to the Superintendent all irregu- 
larities or violations of the rules of the Institution 
which may come under his notice, and enter in his 
watch-book any remarks he may have to make 
upon the occurrences of the night. 

Should he discover fire in any part of the Asylum 
or out-buildings, he shall immediately give notice 
first to an officer, and then to the Attendants, but 
never raise a general alarm. 

At daylight of each day he shall ring the Asylum 
bell again, when his duties will cease until the next 
night. 


12 


TREASURER. 


The Treasurer, besides acting as Clerk to the 
Board, shall keep, in a regular set of books, clear 
and methodical accounts of all moneys received or 
paid out by him for the Institution, &c., and shall 
exhibit these accounts to the Directors or Executive 
Committee quarterly or oftener if required, made 
out in full, with all the items specified. He shall 
hold the funds of the Asylum at all times subject 
to the claims of the Institution. He shall not at— 
any time draw from the State Treasurer a sum 
greater than three-fourths of his official bond, and 
except for contingent expenses and such other 
matters as the Board of Directors may direct, shall 
pay out money only on the order or draft of the 
Superintendent, which order or draft must in all 
cases be accompanied by an itemized account, 
signed by the person to whom the order or draft is 
made payable. 

For contingent expenses and to cover small bills, 
asum not exceeding two hundred dollars per month, 
shall be drawn by the Superintendent and placed 
in the hands of the Steward, which he shall account 
for monthly to the Executive Committee by item- 
ized bills, approved by the Superintendent, and 
that all bills for purchases and expenses shall be 
approved by the Superintendent, and audited by 
the Executive Committee before they are paid. 


13 


~ 


OTHER EMPLOYEES. 


All other employees about the Institution, whose 
duties have not been specifically defined in the 
foregoing by-laws, shall strictly conform to their 
general spirit, and shall always be selected with 
reference to their fitness, not only for the purpose 
for which they have been specially employed, but 
likewise for the companionship and oversight of 
the patients while at work out of the wards, and 
in their walks over the Asylum grounds. 


Goa O88 


TERM OF OFFICE. 


The term of office, which has not been prescribed 
by law, of the different officers of the Asylum, shall 
PPC EOE GNC Ga. =... +. -+...4% and terminate 
SEO Ly ot a i in each year. 


UNIVERSITY OF N.C. AT CHAPEL HILL 


00043578850 


This book must not 
he taken from the 
Library building. 


